| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0011A |
|
40 |
28 |
$1K |
| 96160 |
|
32 |
28 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$360.00 |
| 0012A |
|
18 |
13 |
$320.00 |
| 0003A |
|
23 |
23 |
$160.00 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
1,344 |
1,007 |
$0.00 |
| 3078F |
|
507 |
488 |
$0.00 |
| 99442 |
|
348 |
296 |
$0.00 |
| 1160F |
|
196 |
189 |
$0.00 |
| 91300 |
|
23 |
23 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
128 |
125 |
$0.00 |
| 0521F |
|
60 |
58 |
$0.00 |
| 1159F |
|
199 |
191 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$0.00 |
| 1126F |
|
458 |
451 |
$0.00 |
| 3017F |
|
26 |
26 |
$0.00 |
| 3074F |
|
444 |
430 |
$0.00 |
| 3008F |
|
190 |
185 |
$0.00 |
| 3061F |
|
62 |
60 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,310 |
1,257 |
$0.00 |
| 3079F |
|
12 |
12 |
$0.00 |
| 99441 |
|
312 |
284 |
$0.00 |
| 3044F |
|
52 |
51 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
12 |
12 |
$0.00 |
| 96127 |
|
25 |
24 |
$0.00 |
| 3075F |
|
66 |
66 |
$0.00 |
| 1125F |
|
43 |
41 |
$0.00 |